A few weeks ago, Sean had his 6 year well child checkup. The wee bairn has, after being Gojira, Smasher Of Block Cities, become an astonishingly thin child. We’d managed to get him up over the 30th percentile on weight several months back for the first time since he was a toddler (an event so auspicious and momentous his regular nurse, upon seeing his chart, called to congratulate us). I should have known something was up at the last appointment when, upon taking his weight, the nurse frowned and murmured, “Oh my.” And then she perkily brightened up and shooed us down the hall with false cheer.
It turns out that we really do need to stop stretching our child upon the rack at night, because he’s up over the 90th percentile in height and has crashed down to the 22nd or so percentile on weight, causing his doctor great concern that he simply won’t have the energy and reserves to support his skyrocketing growth rate. The med student suggested gravely that the failure to thrive (I nearly slapped her) was due to insufficient food intake, which prompted his pediatrician to rumble a rich, knowing laugh- before airily informing her student to ‘take a 3 day food history from mom, I’ll be back in a few’, and she sauntered out to pound some coffee and write some orders. The student got a hand cramp and needed two notepads.
The upshot was that the pediatrician gave us instructions in front of Sean, chiefly, “Double desserts, bedtime snack, cheese and butter on everything, just pack the calories in wherever you can. Eat when and where he wants, snack as much as possible, it’s not like he won’t eat meals if he snacks. Oh, and all the French fries he wants.” Sean asked her to repeat that bit about double desserts and fries. A couple of times. Just to be sure, you know. And so began operation strasbourg goose, as we’ve dubbed it. I never anticipated the phrase, “No you can’t have bedtime snack until you have two more bites of cake” coming out of my mouth. Chocolate protein powder and shakes and smoothies. Chunks of cheese in the car. Bowls of cashews. Strawberries with dip. Any of which he is welcome to eat while watching his new second favorite show, the “Penguins of Madagascar”, which I realize is wholly devoid of educational content in marked contrast to our standing policy on television for the kid, except it is teaching him snarky paranoia and he’ll never be able to watch a serious spy movie without being all ‘wait, people mean this to be serious?’ and laughing at Tom Clancy as well as conspiracy theorists masquerading as America’s finest news source and really, that’s educational in my book. There are a few pieces of dialog that never fail to crack me and the Lad up, one of them being Skipper going on about ‘defcon red’. Otter asks, “What’s Defcon Red?” “Pray,” Skipper says soberly, “That you never find out, sister.”
But the other big thing to come out of the well child checkup was that boy howdy, them tonsils, they need to go. This was an issue raised 3 years ago, but all and sundry specialists involved in his apraxia care at that point agreed that we needed to wait- to do nothing that would change the shape of his throat while they were avidly trying to rewire his deeelicious squishy brain. So off we went this morning to the head and neck pediatric surgery specialist courtesy of a referral. First there was the monster wait in the boring exam room with nothing to do, because I was a giant dork and left the Bag of Tricks at home (what do you want, I was still caffeinating). And then the doctor came in, and I was brutally reminded how good Sean’s pediatrician’s bedside manner is- much less the laundry list of specialists we’ve seen over his short life, because this guy had all the talent with children of, say, Freddy Krueger, or perhaps Jason. He swiftly examined Sean, and then began to speak, which is when it all went south, because there was no code talking, there was no using words a child might not know, and when in fact my normally chirpy happy boy was fully balled up and wailing in terror in my lap, this guy had the temerity to say “Now I believe in being honest with kids.” Really dude? That’s great, because while I agree in theory with you I believe in practice in locking my now completely out of the blue freaked out kid in YOUR OFFICE and letting YOU deal with this. And in fact, when my sobbing child manages to pull it together and say ‘I want to ask you a question’ and you say sure, the answer to, ‘Will it hurt’ is ‘Yes but I am going to prescribe you very good medicine that will help you feel better’ and not ‘Yes, a lot, for about a week.’ And lastly, when you tell me repeatedly that it was the wrong call to not have them removed 3 years ago and that Sean may well need speech therapy again, don’t be surprised when I snap at you that despite your thinking he has articulation disorders, we get a regular ‘tune up’ from the ACTUAL EXPERTS IN SPEECH THERAPY and he continues to get the all clear, and yes it will take him a bit to refigure out this speech thing but scare and guilt tactics on mom will really just make me rip your head off and pour the nearest available caustic substance down your flapping, exposed trachea. PS, I’m so glad that when I whipped out my ’small words in a deathly calm tone’ voice on you, after you pompously told me ‘these kids’ are ‘teeny’ because they ‘don’t eat’ and Sean protested ‘I’m a good eater’ and you replied patronizingly, “I’m sure your mom and dad tell you that”, you actually backed down, because you were about to find me going, getting takeout, and sitting Sean in the middle of your file-bedecked desk and having him go to town on the messiest thing I could find at 9 in the goddamn morning. Sir, I realize you are the absolute A-1 best doc in the entire metro area for this, but you’re also the absolute A-1 biggest Asshole, MD in the area. Also, are you in cahoots with Toys-r-us? Because your ‘oh no, don’t load up on ice cream, some kids are cold sensitive, wait until you know what works for him’ was wise and welcome advice, but the follow up of ‘but do you know what you do get lots of, Sean? PRESENTS!’ was just frosting on the shitcake you’d so happily just served up.
So after our oh-so-pleasant experience and at somewhere around a Defcon 2 child unhappiness status, we were handed off to the tender loving care of his nurse who handles his scheduling and goes over all the ins and outs of pre-op and post-op and the fact that I will be IN HELL for a week. She, having not heard the food thing, started in on how Sean will be eating so! much! better! after this, and Sean- testy about the multiple insults to his claim to Takeru Kobayashi’s throne- told her what he ate last night. Her tune changed, and she spent a great deal of time telling me tips and tricks to get him to eat and drink enough after surgery to keep things from hurting so badly. And then- even after the horrible consult with the doctor, the panicked child, the bone-chilling thought of Sean being out of summer camp and home with me for an entire week, came the worst line of the morning.
“Be prepared for him to lose 10% of his body weight the first week.”
Send help. Wrapped around lard.